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At least 199 records · Page 11Linked to original sources
PubMed1981

Some results on lateral suppression obtained in a partial-masking lateralization paradigm.

Results were reported of psychophysical forward-masking experiments using a lateralization method. A general interpretation of masking was given, considering masking to be the combined result of three different mechanisms: the overlap mechanism, the adaptation mechanism, and the suppression mechanism. The aim of this study was to demonstrate the use of the lateralization method in a masking experiment. Masking was measured in a band-widening experiment using a test tone frequency of 3 kHz, which is the center frequency of the masking noise. It was found that the effect of the suppression mechanism depends in a complex way on the difference between masker level and test tone level, as does the bandwidth at which maximum masking occurs. These level effects could be described qualitatively by means of nonlinear excitation patterns.

Acoustic Stimulation↗
PubMed2005

Lateral transmuscular or combined interlaminar/paraisthmic approach to lateral lumbar disc herniation? A comparative clinical series of 48 patients.

BACKGROUND: The optimum operative technique for lateral lumbar disc herniations (LLDH) remains unclear, and both interlaminar and extraspinal approaches are used. OBJECTIVE: To compare outcome after LLDH removal either by a lateral transmuscular approach (LTM) or by a combined interlaminar and paraisthmic approach (CIP). METHODS: 28 patients underwent surgery using CIP and 20 using LTM. All patients were operated on by the same neurosurgeon. The clinical presentation of the two groups was comparable. Overall outcome was assessed after a mean follow up period of between 19 and 37 months using the Ebeling classification. In addition, the effect of surgery on radicular pain, low back pain, and sensory and motor deficits was defined. RESULTS: Excellent to good results were achieved in 95% of the LTM group and 57% of the CIP group. The outcome was satisfactory to poor in 5% of the LTM and 43% of the CIP group (p<0.004). The percentage of sensorimotor deficit and of radicular pain improvement was higher in the LTM group. New low back pain was found exclusively in the CIP group (21%). The complication rate was 5% in the LTM group and 11% in the CIP group. CONCLUSIONS: The LTM approach achieves a better overall outcome and improvement in radiculopathy. The complication rate is lower with the transmuscular route and the risk of new low back pain is minimised. These results are likely to be attributable at least in part to the lesser invasiveness of the LTM approach.

Diskectomy↗
PubMed2002

Urocortin in the lateral septal area modulates feeding induced by orexin A in the lateral hypothalamus.

The intermediate portion of the lateral septum (LSi) contains high levels of urocortin (UCN) peptide and type 2 corticotropin-releasing hormone (CRH) receptor (CRHR2) and has anatomic and functional connections with the lateral hypothalamus (LH). We tested the effect of UCN in the LSi on feeding. Injection of 10 or 30 pmol UCN into LSi significantly decreased feeding in food-deprived rats for 24 h without producing conditioned taste aversion (CTA). Pretreatment with a CRH receptor antagonist, alpha-helical CRH (alpha-hCRH), blocked the inhibitory effect of UCN on deprivation-induced feeding at 1 and 2 h postinjection. Furthermore, UCN in the LSi significantly decreased feeding induced by LH-injected orexin A at 2 and 4 h postinjection, and addition of alpha-hCRH blocked the inhibitory effect of UCN on orexin A-induced feeding. In conclusion, UCN significantly inhibits feeding induced by deprivation and LH-injected orexin A without producing a CTA, an effect that is mediated by CRHR2. These data define the LSi as an important site for UCN-induced anorexia and indicate that LSi UCN may influence orexin A feeding signals in the LH.

Animals↗
PubMed1988

Receptive-field properties and morphological characteristics of the superior collicular neurons that project to the lateral posterior and dorsal lateral geniculate nuclei in the hamster.

1. Intracellular recording, antidromic activation, and horseradish peroxidase (HRP) injection techniques were employed to characterize the receptive-field properties and morphology of the superior collicular (SC) neurons in the hamster that projected to the lateral posterior nucleus (LP) or the dorsal lateral geniculate body (LGNd). 2. Twenty-three tecto-LP and 21 tecto-LGNd cells were successfully characterized, filled with HRP, and recovered. Additional physiological information was obtained from four tecto-LP and five tecto-LGNd neurons in which HRP injections did not completely label the cell, but did provide information as to the laminar location of the soma. Recovered neurons were classified as wide-field or narrow-field vertical cells, marginal cells, stellate cells, or horizontal cells on the basis of their soma-dendritic morphology. They were categorized as stationary responsive (SR), movement sensitive (MV), or directionally selective (DS) on the basis of their physiological responses (3, 37). 3. The somas of the recovered tecto-LP cells were located, with two exceptions, in, or near, the borders of the stratum opticum (SO). Tecto-LGNd neurons, with two exceptions, had their cell bodies in the upper one-half of the stratum griseum superficiale (SGS). Fifty-two percent of the recovered tecto-LP cells were wide-field vertical cells, 22% were narrow-field vertical cells, 13% were stellate cells, 9% were horizontal cells, and 4% could not be classified according to the scheme that we employed. Twenty-four percent of the recovered tecto-LGNd cells were marginal cells, 24% were stellate cells, 38% were narrow-field vertical cells, 5% were horizontal cells, 5% were wide-field vertical cells, and 5% could not be classified. The difference between the distributions of morphological cell types that contributed to the tecto-LGNd and tecto-LP pathways was statistically significant (chi 2 = 15.8, P less than 0.01). 4. Sixty-seven percent of the tecto-LP cells had MV receptive fields, 11% were DS, 7% had SR fields, and 15% were unresponsive. The distribution of receptive-field types for tecto-LGNd cells was somewhat different: 54% had SR fields, 15% were MV, 19% were DS, 4% were somatosensory, 4% were unresponsive, and 4% were incompletely classified. These differences between tecto-LP and tecto-LGNd cells were statistically significant (chi 2 = 18.4, P less than 0.001). The strongest correlation between morphology and receptive-field type was observed for the wide-field vertical cells that projected to LP. All but one of these had MV receptive fields.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1990

[Lhermitte's sign during lateral cervical puncture: survey of possible accidents in the lateral C1-C2 puncture and report of 2 cases of spinal cord penetration].

Lhermitte's sign was referred by two patients during lateral cervical puncture (LCP) due to accidental puncture of the spinal cord; no sequelae were observed in these patients. A brief review of the literature is presented, concerning: 1. Lhermitte's sign; 2. reported accidents during LCP. Avoidance of neural and/or vascular injuries is possible by employing the posterior approach to LCP (puncture of the dorsal spinal subarachnoid space at C1-C2). The lateral suboccipital puncture (at the atlanto-occipital space) of the cisterna magna is also recommended.

Adult↗
PubMed1996

[Study of human orientation with respect to vertical under effect of lateral and combined longitudinal-lateral accelerations].

Six test subjects were subjected to NZ and Ny/Nz accelerations in centrifuge cabin having rotation radius of 6.55 m. During rotation, test subjects have determined the position of the subjective visual vertical. The performed studies have demonstrated that during exposure to NZ and Ny/NZ accelerations the image of subjective vertical the direction of which with rise of lateral component approaches the direction of the vector of resultant acceleration. The expressivity of this effect decreases with an increase of the longitudinal component of acceleration. It was suggested that pulling of high lateral accelerations (up to 2-3 units of g) in the flight of advanced highly manoeuvrable aircrafts can hinder in-flight spatial orientation of a pilot due to appearing of the stable illusions of spatial position.

Acceleration↗
PubMedDate not supplied

Spontaneous recurrent hemarthrosis of the knee with lesion of the lateral meniscus and arthrosis of the lateral compartment.

One of the possible atraumatic causes of recurring hemarthrosis of the knee is constituted by the association of a lesion of the lateral meniscus with severe gonarthrosis of the lateral compartment. In the case described we were able to determine the cause of frequent bleeding (12 times in 15 months) in a traction caused by the injured meniscal tissue on the terminal branches of the geniculated arteries in the area of the popliteal hiatus. Thus, this clinical manifestation cannot be attributed to a synovial pathology. Total arthroscopic meniscectomy solved the problem.

Arthroscopy↗
PubMed2006

Slower disease progression and prolonged survival in contemporary patients with amyotrophic lateral sclerosis: is the natural history of amyotrophic lateral sclerosis changing?

BACKGROUND: In recent years, considerable effort has been made to improve the treatment of patients with amyotrophic lateral sclerosis (ALS). However, despite the increased use of supportive measures, controversy still exists about overall trends in disease progression and survival. OBJECTIVE: To analyze whether survival and disease progression in patients with ALS have changed during the past 20 years. DESIGN: By using the Kaplan-Meier life-table method, we compared disease progression (measured as time to a 20-point increase in the Appel ALS score) and survival in 1041 patients diagnosed as having ALS between January 1, 1984, and January 1, 1999 (historical group, n = 647), and between January 2, 1999, and November 1, 2004 (contemporary group, n = 394). The Cox proportional hazards model was used for univariate and multivariate analyses. RESULTS: The median survival from symptom onset was 4.32 years (95% confidence interval [CI], 3.81-4.84 years) in the contemporary group compared with 3.22 years (95% CI, 3.04-3.41 years) in the historical group (P<.001). The contemporary patients progressed more slowly (10 months to a 20-point increase; 95% CI, 9-13 months) compared with patients in the historical group (9 months to a 20-point increase; 95% CI, 8-9 months) (P<.001). In the multivariate Cox proportional hazards model, the observed outcome improvement over time was independent of confounding factors, such as age, sex, diagnostic delay, site of symptom onset, baseline forced vital capacity, and baseline Appel ALS score, and independent of the use of potentially outcome-modifying therapies (riluzole, noninvasive ventilation, and percutaneous gastrostomy). CONCLUSIONS: Contemporary patients had significantly prolonged survival and slower disease progression compared with patients from the historical group. The improved outcome seemed independent of specific ALS outcome-modifying therapies, but we cannot rule out an effect of comorbid conditions, which could have influenced medical treatment and survival. Nevertheless, our observations suggest the possibility that disease course has changed and that ALS is becoming less aggressive over time. Further studies are needed to determine whether there has been a fundamental change in the natural history of the disease or whether our results are because of other unmeasured aspects of improved multidisciplinary care.

Adult↗
PubMed1980

Birth factors and laterality: effects of birth order, parental age, and birth stress on four indices of lateral preference.

As an alternative to genetic theories of handedness, some theorists have offered an environmental mechanism, associated with birth stress, for the appearance of left-handedness. They suggest that brain damage as a result of birth difficulties can lead to a switch in hand preference from the right side to the left side. Consequently, one should find more left-handers in groups where the probability of the occurrence of birth stress is greater. Three studies are presented which explore the laterality of not only hand but also foot, eye, and ear, in a total of 5161 individuals, in an attempt to assess any relationship to birth stress. Maternal age seems to predict deviations from dextrality, dependent on the sex of the offspring, while paternal age and birth order do not. The use of a direct measure of conditions predisposing toward birth stress suggests that these results depend on prenatal or perinatal environmental trauma rather than chromosomal factors.

Adolescent↗
PubMed2003

Late-term reconstruction of lateral ankle ligaments using a split peroneus brevis tendon graft (Colville's technique) in patients with chronic lateral instability of the ankle.

We reviewed 14 patients with chronic lateral instability of the ankle treated by Colville's technique between 1996 and 2001. The mean patient age was 25 (20-35) years and all were men. The mean period between injury and surgery was 25 (18-32) months, and the mean follow-up was 20 (14-32) months. Twelve of the results were excellent and two were good according to the criteria of Chrisman and Snook. All patients returned to normal daily activity levels at an average of 6 months following surgery.

Adult↗
PubMed1997

Comparative study of ubiquitin immunoreactivity of hippocampal granular cells in amyotrophic lateral sclerosis with dementia, Guamanian amyotrophic lateral sclerosis and Guamanian parkinsonism-dementia complex.

This report concerns an investigation on ubiquitin immunoreactivity in the neuronal perikarya of hippocampal granular cells in Guamanian amyotrophic lateral sclerosis (G-ALS) and Guamanian parkinsonism-dementia complex (G-PDC). Specimens from two non-Guamanian cases of ALS with dementia (ALS-D) were included for comparison. Histologically normal hippocampi from five adults served as controls. Antibodies to ubiquitin and tau protein were used throughout. Most Guamanian patients examined had granular cells with perikaryal ubiquitin immunoreactivity in the dentate gyrus, but in comparison to ALS-D, the frequency of ubiquitin-positive neurons was significantly lower. Tau-positive granular cells were detected in most Guamanian patients, but not in ALS-D. There was a relationship between the numbers of ubiquitin-positive and tau-positive neurons in the dentate granular cell layer of G-ALS and G-PDC patients. This was verified on sections double immunostained for tau protein and ubiquitin. The present findings suggest that the ubiquitin-positive materials observed in the perikarya of the dentate granular cells of patients with G-ALS or with G-PDC seem to be Alzheimer's neurofibrillary tangles rather than the typical ubiquitin-positive intracytoplasmic neuronal inclusions, characteristics of ALS-D. Our data would indicate that different mechanisms are involved in the geneses of cortical neuronal degeneration and decline in cognitive function in ALS-D, G-ALS and G-PDC.

Adult↗
PubMed2000

Patients with amyotrophic lateral sclerosis and cancer do not differ clinically from patients with sporadic amyotrophic lateral sclerosis.

We examined whether patients with both amyotrophic lateral sclerosis (ALS) and cancer differ from classical ALS patients, and whether motor neuron disease responds to oncological therapy. We analyzed clinical and immunological features of 14 patients (9 men, 5 women; mean age 65.3 years) with pure/definite ALS and cancer. Patients with solid tumor cancer and definite ALS were selected according to the E1 Escorial criteria; cases with ALS plus were excluded. Four patients had breast cancer, three lung adenocarcinoma, and three bowel tumor; hepatocarcinoma, kidney cancer, and mesothelioma were observed in one case each, and in one patient the primary tumor was unidentified. Patients' sera were examined for antinervous system antibodies by means of immunohistochemistry and western blot analysis. Of five patients who underwent surgical therapy, two worsened during the procedure, while the other three had no benefit. The remaining two patients did not improve after chemotherapy and radiotherapy. In none of our cases did the oncological disease progress. Death was a consequence of ALS in all eight patients who died. Median survival was 18 months and did not differ from that of 28 ALS patients matched for age, sex, and onset features (bulbar or spinal). Anti-nervous system antibodies were never detected. We conclude that our group of pure ALS patients with cancer do not significantly differ from patients with classical ALS. They usually die as a consequence of the motor neuron syndrome in the absence of cancer progression. To date we have not observed any response of ALS to antitumor therapy.

Aged↗
PubMed1993

Ubiquitin-positive inclusion in anterior horn cells in subgroups of motor neuron diseases: a comparative study of adult-onset amyotrophic lateral sclerosis, juvenile amyotrophic lateral sclerosis and Werdnig-Hoffmann disease.

This report concerns the expression of ubiquitin in anterior horn cells of various subgroups of adult and infantile motor neuron disease (MNDs); immunohistochemical techniques were employed. Ubiquitin-positive skein-like inclusions (SLIs) were found in all cases of adult-onset amyotrophic lateral sclerosis (ALS), including 16 cases with sporadic ALS, two cases of familial ALS with posterior column degeneration and Lewy body-like hyaline inclusions (LBHIs), two sporadic ALS cases with LBHIs, and three cases of sporadic ALS with dementia. SLIs were not found in anterior horn cells of 5 cases with Werdnig-Hoffmann disease (WHD). However, granular ubiquitin-positive deposits were seen in ballooned neurons of WHD patients. No ubiquitinated materials were found in the perikarya of two sporadic juvenile ALS patients with basophilic inclusions (BIs), but granular ubiquitin-immunoreactive deposits were occasionally observed in the BIs. These results suggest that ubiquitin-positive SLIs are characteristic features of various forms of adult-onset ALS and that aggregated ubiquitinated granules are characteristic of ballooned neurons of WHD. Ubiquitinated structures and their distribution patterns may reflect degenerative processes of anterior horn cells, and may be useful for classifying subgroups of motor neuron diseases.

Adult↗
PubMed1996

Effects of lateralized cues on the processing of lateralized auditory stimuli.

We examined the influence of auditory spatial cues on the processing of subsequently presented lateralized auditory target stimuli. In three experiments, effects of the position of the cue on event-related potentials (ERPs) and reaction times (RTs) to the target, which could occur at the same or at a different position to the cue, were examined. In Experiments I and II, stimulus-pairs were delivered via loudspeakers 13 degrees to the right or left of fixation. The cue was task-irrelevant in the sense that it never required a response, whereas the target was task-relevant. In Experiment I, the cue was not informative about the position of the succeeding target, that is, the target was presented at the same or at a different position to the cue with equal probability. In Experiment II, the cue predicted a target with high validity, occurring at the position opposite to the cue. In both experiments, the ERPs to targets presented at the same position as the preceding cue were negatively modulated compared with the ERPs to targets presented at a different position. This negative difference (Nd) between the ERPs to same and different position stimuli occurring between 200-300 ms relative to target onset was also obtained in situations where no overt behavior was required. Effects of cue position on RTs to the target were only observed in Experiment II, being shorter for validly predicted targets. These Nd effects either reflect refractoriness of location-specific exogeneous ERP components or involuntary attentional selection. In order to decide between these alternatives, a third experiment was performed, in which stimulus-pairs were presented via headphones to the left and right ear in attend and ignore condition. An Nd effect was obtained in the attend condition only. The absence of Nd effects in the ignore condition suggests that the Nd obtained in attend condition cannot completely be explained by refractoriness of exogeneous ERP components and thus reflects attentional processes.

Adult↗
PubMed1985

Lateral hypothalamic self-stimulation persists in rats after destruction of lateral hypothalamic neurons by kainic acid or ibotenic acid.

Bilateral injections of 1 microgram/microliter of kainic or ibotenic acid into the lateral hypothalamus (LH) of rats destroyed most of the cells in the LH. This treatment did not prevent electrical self-stimulation from electrodes placed in the LH, indicating that intrinsic neurons of the LH alone are not crucial elements of the neural system that mediates reinforcing hypothalamic stimulation.

Animals↗
PubMed1993

A prospective study of the development of laterality: neonatal laterality in relation to perinatal factors and maternal behavior.

As part of an investigation of the development of laterality, 150 neonates were tested for bilateral asymmetries in behavior. Palmar and plantar grasping, and head-turning preference were measured, and observations were made of the way mothers held their babies and laid them in their cribs. Overall, right head-turning predominated. However, the side on which the baby had been lain pre-test markedly affected head-turning behavior: 120 of 147 babies turned predominantly to the right after lying on the right, whereas only 75 did so after lying on their left side (p < .001). There was no predominant asymmetry in the population in palmar or plantar grasping. These findings are explored in relation to perinatal factors and maternal behavior.

Female↗
PubMed1996

Dose-ranging study of riluzole in amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis/Riluzole Study Group II.

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive disease with no effective treatment. In an initial study, riluzole decreased mortality and slowed muscle-strength deterioration in ALS patients. We have carried out a double-blind, placebo-controlled, multicentre study to confirm those findings and to assess drug efficacy at different doses. METHODS: 959 patients with clinically probable or definite ALS of less than 5 years' duration were randomly assigned treatment with placebo or 50 mg, 100 mg, or 200 mg riluzole daily; randomisation was stratified by centre and site of disease onset (bulbar or limb). The primary outcome was survival without a tracheostomy. Secondary outcomes were rates of change in functional measures (muscle strength, functional status, respiratory function, patient's assessments of fasciculation, cramps, stiffness, and tiredness). The primary analysis was the comparison of the 100 mg dose with placebo by intention-to-treat. Drug-effect on survival was assessed before (log-rank test) and after adjustment for known prognostic factors (Cox's model). FINDINGS: At the end of the study, after median follow-up of 18 months, 122 (50.4%) placebo-treated patients and 134 (56.8%) of those who received 100 mg/day riluzole were alive without tracheostomy (unadjusted risk 0.79, p = 0.076; adjusted risk 0.65, p = 0.002). In the groups receiving 50 mg and 200 mg riluzole daily, 131 (55.3%) and 141 (57.8%) patients were alive without tracheostomy (relative to placebo 50 mg adjusted risk 0.76, p = 0.04; 200 mg 0.61, p = 0.0004). There was a significant inverse dose response in risk of death. No functional scale discriminated between the treatment groups. The most common adverse reactions were asthenia, dizziness, gastrointestinal disorders, and rises in liver enzyme activities; they were commonest with the 200 mg dose. INTERPRETATION: Overall, efficacy and safety results suggest that the 100 mg dose of riluzole has the best benefit-to-risk ratio. This study confirms that riluzole is well tolerated and lengthens survival of patients with ALS.

Amyotrophic Lateral Sclerosis↗
PubMed1996

Cerebral lateralization is delayed in children who later develop schizophrenia.

The origins of schizophrenia are obscure. One suggestion is that it represents a component of the genetic variation associated with the establishment of dominance in one or other cerebral hemisphere, a mechanism that has been crucial in the evolution of language. Indices of cerebral hemispheric dominance (hand, foot and eye preference, speed of checking squares) recorded on the 16,980 children in the UK National Child Development Study cohort were examined in relation to psychiatric admission by the age of 28 years. Diagnoses were established by the application of Present State Examination criteria to case notes. Pre-schizophrenic children (n = 34-36) were more likely (p < 0.0003) to be rated by their mothers as ambidextrous at the age of 7 years, and at 11 years were less (p < 0.01) strongly right-handed than their peers in the cohort population on a test of relative hand skill: children who later developed affective psychosis (n = 25) or neurosis (n = 60) did not differ significantly from controls. Delay in establishing dominance in one hemisphere could be the critical factor that predisposes to schizophrenia.

Adolescent↗